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. 2022 Feb 16;19(4):2248. doi: 10.3390/ijerph19042248

Table 3.

Clinical evidence on incorporating nature exposure and self-care modalities into therapeutic interior environments for people with depression.

Modality Studies Supporting Interior Landscapes Integrating Biophilic Interventions and Self-Care
Exposure to nature
  • Exposure to outdoor nature can reduce depression [41,71]

  • Green space view from a window can reduce risk of depression [118]

  • Exposure to green spaces can affect mental health and well-being [119]

  • Exposure to flowers can reduce depressive symptoms in fibromyalgia patients [44]

  • Exposure to natural environments increases positive affect and decreases negative affect [120,121]

Lighting
  • Bright light therapy is effective for non-seasonal depression and bipolar depression [117,122,123]

  • Bright light therapy is effective for people with seasonal affective disorder [124,125]

  • Blue-wavelength light therapy can be effective in treating depression [126]

Music
  • Music reduces depressive symptoms [37,38]

Physical activity and yoga
  • Physical activity can reduce depressive symptoms [127,128,129]

  • Yoga can reduce depressive symptoms [130]

Mindfulness meditation
  • Mindfulness meditation can improve depressive symptoms [131,132]

Breathing exercises
  • Breathing exercises reduce depressive symptoms in patients with major depressive disorder who did not respond to antidepressant medications [133]

  • Breathing exercises can reduce depressive symptoms [134,135]

Aromatherapy
  • Aromatherapy can improve depressive symptoms [136]

Sleep hygiene
  • People with insomnia have a higher risk for developing depression [137]

  • Altering circadian rhythms can be linked to major depression [138]

Nutrition
  • Supplementation with St John’s Wort has significant clinical efficacy in reducing depressive symptoms, including people living with major depressive disorder [139,140]

  • Mediterranean diet is associated with a lower risk for depression [141]